Trauma and PTSD therapists & psychiatrists in Farmington, MO

It takes courage to reach out for help! Showing up that first time may be the hardest part of the journey. Being someone who has sat in that chair, I have a good idea how you are feeling. Being someone who has done her own personal work of therapy and helped hundreds of others with theirs, I also know how much better life can be! Emotional wounds can be heavy. Medication may help, but the feelings can make living feel like swimming with a shot put ball.

I strive to come alongside those struggling to provide support, education and encouragement. I have worked with clients from age 5 to 103, and what I have found to be most important is the connection (or the “fit.”) You need a therapist you can bring your authentic self to. You are hiring me to do a job, to help you think, feel, and behave better. I want that for you, even if it is not me, so never be afraid to interview a few therapists before deciding! After all, if it is me, I will be in your corner and I will challenge you, at the same time. You want to know you chose wisely for yourself.

I received my undergraduate degree in Psychology and graduate degree in Clinical Mental Health Counseling from the University of Missouri- St. Louis. I'm a licensed clinical therapist in Missouri and have spent the past 4 years working on an acute behavioral health unit seeing a wide range of patients with diverse backgrounds and symptomatic presentations. I have received certifications in trauma studies and believe in the psyche’s natural ability to heal and adapt.

You came here because something isn't working. Maybe it's the moods that swing without warning, the emotional intensity that keeps spilling into your relationships, anxiety that won't quit, or the weight of something you've been carrying for longer than you should have to. Maybe you've been leaning on substances to get through and know something needs to change.

I work with adolescents, adults, and seniors across Missouri through telehealth, and I specialize

in the kinds of struggles that don't fit neatly into one category: mood disorders, trauma, anxiety

borderline personality, substance use, and relationships under strain.

Hi, I'm Tierra Kinnard, LCSW, and founder of Step by Step Healing Services, LLC. With more than 16 years of experience in the mental health field, I am passionate about helping individuals navigate life's challenges with compassion, understanding, and evidence-based care. I believe healing begins in a space where you feel safe, heard, and accepted exactly as you are. I specialize in treating Obsessive-Compulsive Disorder (OCD), Excoriation (Skin Picking Disorder), Trichotillomania (Hair Pulling Disorder), anxiety, depression, trauma, and grief and loss. Throughout my career, I have had the privilege of supporting individuals from diverse backgrounds, including members of the BIPOC and LGBTQIA+ communities. I understand the profound impact that mental health challenges can have on individuals, families, and relationships, and I am committed to helping clients build resilience, find relief, and create meaningful change.

As a licensed clinical social worker, I believe therapy should meet you where you are while also helping you move toward where you want to be. I often compare therapy to going to the gym: it is dedicated time to strengthen the way you understand and respond to your thoughts, emotions, relationships and behaviors.

My approach is warm, direct and collaborative. You can expect empathy, compassion and acceptance, along with thoughtful questions and practical strategies that help you make meaningful changes. Your needs, experiences and goals will guide our work together.

I support adults and adolescents experiencing depression, anxiety, grief, trauma, addiction, relationship challenges and major life transitions. I also have experience working with concerns related to sexual orientation, identity, suicide prevention, family dynamics and professional stress.

You do not have to have everything figured out before beginning therapy. We can start with what is happening right now and work together from there.